SANTURCE MEDICAL MALL CLINICAL LAB
NPI 1639679012
Clinical Medical Laboratory in San Juan, PR

NPI Status: Active since February 13, 2018

Contact Information

1801 PONCE DE LEON
SUITE 101-C SANTURCE MEDICAL MALL
SAN JUAN, PR
ZIP 00909
Phone: (787) 995-7098
Fax: (787) 995-7140

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  • Organization
  • Clinical Medical Laboratory
  • CLIA Number: 40D2133089
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 09-20-2026

About SANTURCE MEDICAL MALL CLINICAL LAB

This page provides the complete NPI Profile along with additional information for Santurce Medical Mall Clinical Lab, a provider established in San Juan, Puerto Rico operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1639679012 assigned on February 2018. The practitioner's primary taxonomy code is 291U00000X with license number 1370 (PR). The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Santurce Medical Mall Clinical Lab. The authorized official of this NPI record is Mrs. Maria E Narvaez Rivera Md (Owner)

NPI
1639679012
Provider Legal Name
NRMD HEALTH PROVIDERS LLC
Other Organization Name
SANTURCE MEDICAL MALL CLINICAL LAB
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1801 PONCE DE LEON SUITE 101-C SANTURCE MEDICAL MALL SAN JUAN, PR 00909
Location Phone
(787) 995-7098
Location Fax
(787) 995-7140
Mailing Address
PO BOX 19237 SAN JUAN, PR 00910
Mailing Phone
(787) 995-7098
Mailing Fax
(787) 995-7140
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-13-2018
Last Update Date
08-01-2018
Code Navigator

Establishments like Santurce Medical Mall Clinical Lab are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.

Clinical labs in the U.S. that perform human testing are regulated by the Centers for Medicare & Medicaid Services (CMS) through the Clinical Laboratory Improvement Amendments (CLIA) program. The purpose of the CLIA program is to guarantee the quality of laboratory testing. This provider has a CLIA number assigned, and undergoes regular inspections to ensure compliance and quality.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Medical Laboratory

Taxonomy Code
291U00000X
Type
Laboratories
License No.
1370
License State
PR
Taxonomy Description
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. MARIA E NARVAEZ RIVERA MD

Authorized Official Title
OWNER
Authorized Official Phone
(787) 638-8410

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Insertion of needle into vein for collection of blood sample

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

This service was performed 32 times for 13 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
40D2133089
Facility Type
Independent
Certificate Effective Date
September 21, 2024
Certificate Expiration Date
September 20, 2026
Laboratory Director
MRS. VIRMA T. PESQUERA
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Santurce Medical Mall Clinical Lab after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1639679012, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
3
Doubled → 6
Pos 4
9
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
7
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
0
Unchanged
Pos 9
1
Doubled → 2
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 6 → 12 → 3 9 → 18 → 9 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 6 + 9 + 1 + 2 + 7 + 1 + 8 + 0 + 2 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1639679012.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639679012, enumerated as an "organization" on February 13, 2018.

The provider is located at 1801 PONCE DE LEON SUITE 101-C SANTURCE MEDICAL MALL SAN JUAN, PR 00909 and the phone number is (787) 995-7098.

Clinical Medical Laboratory with taxonomy code 291U00000X.